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Organization

PETER S JEROME MD PLLC

Active
Other names
PETER S JEROME MD PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
PETER S JEROME MD (OWNER)
(469) 492-9802
Entity
Organization

Contact information

Practice address
350 BOWDEN LN, COLDSPRING, TX 77331-9240
(469) 492-9802
Mailing address
350 BOWDEN LN, COLDSPRING, TX 77331-9240
(469) 492-9802

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
393948003
TX
Enumeration date
04/05/2024
Last updated
04/05/2024
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